Provider Demographics
NPI:1962995225
Name:PEOPLES, HARRY JACOBI II (DMD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JACOBI
Last Name:PEOPLES
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182A JEFFERSON PKWY # A
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-5822
Mailing Address - Country:US
Mailing Address - Phone:770-304-5577
Mailing Address - Fax:
Practice Address - Street 1:182A JEFFERSON PKWY # A
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-5822
Practice Address - Country:US
Practice Address - Phone:770-304-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL65111223G0001X
GADN1237011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice